Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $64.47 / $73.17	Professional		$45.77	$64.47	$73.17
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $37.20 / $37.20	Professional		$37.20	$37.20	$37.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $143.74 / $171.54 / $410.21	Facility		$143.74	$171.54	$410.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $434.11 / $434.11 / $678.30	Professional		$434.11	$434.11	$678.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $49.37 / $66.95 / $77.50	Facility		$49.37	$66.95	$77.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $73.63 / $78.94 / $78.94	Professional		$73.63	$78.94	$78.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $77.50 / $83.24	Professional		$55.00	$77.50	$83.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.78 / $66.84 / $77.50	Facility		$51.78	$66.84	$77.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $37.20 / $79.08	Professional		$37.20	$37.20	$79.08
United Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $47.66 / $55.47	Professional		$32.22	$47.66	$55.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.50 / $77.50 / $104.63	Professional		$77.50	$77.50	$104.63